頁籤選單縮合
題 名 | 臺灣北部地區腦性麻痺兒童之一般醫療與復健醫療情形=Medical Care and Rehabilitation Services Providing to Children with Cerebral Palsy in Northern Taiwan |
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作 者 | 廖華芳; 吳淑瓊; 鄭素芳; 王本榮; 李素菁; 周文博; | 書刊名 | 復健醫學會雜誌 |
卷 期 | 25:2 1997.12[民86.12] |
頁 次 | 頁105-117 |
分類號 | 418.996 |
關鍵詞 | 腦性麻痺; 復健醫療; 醫療照護; Cerebral palsy; Rehabilitation; Medical care; |
語 文 | 中文(Chinese) |
中文摘要 | 為了解腦性麻痺兒童接受一般醫療及復健醫療之情形及其影響因素,於 1995 年 6 月至 7 月間, 寄發 2435 份問卷給北部地區可能為腦性麻痺兒童之家長,得回收問卷 689 份( 28% )。分析其中 18 歲以下腦性麻痺兒童之426 份有效問卷( 17.5% ),結果 顯示:在過去半年來,有 389 位( 95 % )曾接受西醫門診,平均次數為 11.7 ± 10.4 次(範圍 1 ∼ 67 次);其中以小兒科( 77% )為最多數,復健科其次( 50% )。 曾接 受中醫門診者 91 位( 24% ),接受針灸者 76 位( 20% )。全民健保實施後,西醫門診 次數略有上升。在復健方面,95% 的腦性麻痺兒童過去曾接受復健醫療,在調查期間三個月 內有 241 位( 58% )仍接受復健醫療;其中物理治療 207 位( 51% ),職能治療 94 位 (23% ),語言治療 47 位( 12 % ), 裝具輔具 47 位( 12 % ),心理治療 14 位( 4%)。平均接受物理治療 6.2 ± 3.8 次 / 月(中位數 4 次 / 月),職能治療 5.4 ± 3.2次 / 月,語言治療 4 ± 2.7 次 / 月。因此所接受之各項復健醫療中以物理治療為最 多。73% 主要照顧者認為所接受之復健醫療仍不夠。影響有無接受復健醫療之因素包括:患 童之年齡、患童之功能、確定腦性麻痺診斷時醫師給予之建議、父母親之教育程度、家中收 入與家長對患童未來獨立之預期。患童家長對醫療之需求以提供有關醫療資訊者佔最多數。 |
英文摘要 | The Condition of Medical and Rehabilitation services for Children with Cerebal Palsy (CP) in Taiwan has Rarely been Investigated. Such Information is Crucial for the Health Services Planning. To Understand the Current Status of Medical and Rehabilitation Cares of CP Children and Related Influencing Factors, We Sent 2435 Copies of Questionnaires to the Main Caregivers of Possible CP Children in the Northern Taiwan. Six Hundred and Eighty-Nine Copies (28%) were Returned. Four Hundred and Twenty-Six Copies were of CP Children younger than 18 Years of Age (17.5%). Their Data were Analyzed for this Report. In 6-Month Period Prior to this Investigation, three Hundred and Eighty-Nine CP Children (95%) Consulted at Clinics of Western Medicine, Averaging 11.7 ± 10.4 Visits. Pediatric Service was the Most(77%) and Rehabilitation Service (50%) the Secondary. Ninty-one CP Children (24%) Also consulted at clinics of Chinese medicine and seventy-six CP children (20%) also Received Acupuncture Treatment. For Rehabilitation Therapy, Two Hundred and Forty-One CP Children (58%) were Receiving Rehabilitation Therapy During the Three-Month Investigation Period. The Distributions of Physical Therapy, Occuational Therapy, Speech Therapy, Orthotic Therapy, and Psychological Therapy were 51%, 23%, 12%, 12%, and 4% Respectively. The Average Frequency of Physical Therapy Was 6.2 ± 3.8 Sessions Per Month; of Occupational Therapy, 5.4 ± 3.2 Sessions Per Month; of Speech Therapy, 4 ± 2.7 Sessions Per Month; of Orthotics, 3.7 ± 5.3 Sessions Per 3 Months;and of Psychology therapy,10 ± 22.3 Secsions Per 3 Months. In Conclusion , Among the Specialists of Rehabilitation Therapy Physical Therapy was the Most that Children with Cerebral Palsy had Received. Factors Influencing the amount of Rehabilitation Services were Age and the Level of Functional Ability of the CP Child, Education Level of the Parents, Family Income, First Suggest that Received While CP was Diagnosed and Parents' Expectation of the CP Child. The availability of Medical Information was Mostly Requested by the Parents of CP Children. |
本系統中英文摘要資訊取自各篇刊載內容。